Atlas for the OMERACT thumb base osteoarthritis MRI scoring system (TOMS)

Féline P B Kroon; Charles G Peterfy; Philip G Conaghan; Violaine Foltz; Frédérique Gandjbakhch; Iris Eshed; Harry K Genant; Mikkel Østergaard; Monique Reijnierse; Johan L Bloem; Ida K Haugen; Margreet Kloppenburg

doi:10.1136/rmdopen-2017-000583

Atlas for the OMERACT thumb base osteoarthritis MRI scoring system (TOMS)

RMD Open. 2018 Feb 8;4(1):e000583. doi: 10.1136/rmdopen-2017-000583. eCollection 2018.

Authors

Féline P B Kroon¹, Charles G Peterfy², Philip G Conaghan³, Violaine Foltz⁴, Frédérique Gandjbakhch⁴, Iris Eshed⁵, Harry K Genant^{6

7}, Mikkel Østergaard^{8

9}, Monique Reijnierse¹⁰, Johan L Bloem¹⁰, Ida K Haugen¹¹, Margreet Kloppenburg^{1

12}

Affiliations

¹ Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
² Spire Sciences Inc, Boca Raton, Florida, USA.
³ Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds and National Institute for Health Research, Leeds Biomedical Research Centre, Leeds, UK.
⁴ Department of Rheumatology, Pitié Salpêtriere Hospital, APHP, Université Pierre et Marie Curie, Paris, France.
⁵ Department of Diagnostic Imaging, Sheba Medical Center, Tel Aviv University, Tel Aviv, Israel.
⁶ Department of Radiology, University of California San Francisco, San Francisco, California, USA.
⁷ Department of Medicine, University of California San Francisco, San Francisco, California, USA.
⁸ Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Glostrup Hospital, Copenhagen, Denmark.
⁹ Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
¹⁰ Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
¹¹ Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
¹² Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.

Abstract

This paper presents an atlas for the Outcome Measures in Rheumatology Clinical Trials (OMERACT) thumb base osteoarthritis MRI scoring system (TOMS). The atlas includes reference images of each grade of each feature that is assessed in TOMS (synovitis grade 0-3, subchondral bone defects grade 0-3, osteophytes grade 0-3, cartilage assessment grade 0-3, subluxation and bone marrow lesions grade 0-3) in the first carpometacarpal and scapho-trapezio-trapezoid joint. The presented reference images can be used to guide scoring of thumb base MRIs in patients with hand osteoarthritis according to the OMERACT TOMS.

Keywords: hand osteoarthritis; magnetic resonance imaging; osteoarthritis.